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Organization

JENNIFER PSOTA DOUGHERTY DDS LLC

Active
Other names
Westlake Family Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER PSOTA DOUGHERTY DDS (SOLE MBR)
(440) 835-0011
Entity
Organization

Contact information

Practice address
2255 COLUMBIA RD, WESTLAKE, OH 44145-4102
(440) 835-0011
(440) 250-1896
Mailing address
2255 COLUMBIA RD, WESTLAKE, OH 44145-4102
(440) 835-0011
(440) 250-1896

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21039
OH

Other

Enumeration date
12/15/2010
Last updated
09/25/2014
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